Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jose R. Bustillo, DO

Individual provider Internal Medicine Physician · NPI 1679972947

Dr. Jose R. Bustillo, DO is an Internal Medicine in Newark, New Jersey. Graduated from Ohio University, College of Osteopathic Medicine in 2010, 16 years ago. Practices with Rwjbh Primary Care Services, a 263-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
16
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
NJ
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MB09447600 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence 25MB09447600 (NJ)

Record details

NPI number1679972947
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 22, 2014
Last updated in NPPESAugust 22, 2014
Mailing address2414 Edward Stec Blvd, Edison, NJ 08837-7008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Rwjbh Primary Care Services — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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